Nackman, Gary B
Nackman, Gary B is an sole proprietor health care provider with primary practice located at 1037 Us Highway 46 Suite 202, Clifton NJ 07013-2451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Nackman, Gary B can be contacted via phone (973) 778-2222.Contact Information
Primary practice address
1037 Us Highway 46 Suite 202
Clifton NJ 07013-2451
Phone: (973) 778-2222
Fax: (973) 860-1148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MA64837 | New Jersey |
Profile Details
| NPI number | 1114096765 |
|---|---|
| LBN Legal business name | Nackman, Gary B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jan 28th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114096765 | NPPES |
| New Jersey | MEDICAID | 7069707 | |
| New Jersey | Other | 760000191 |
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